A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Hypoactive bowel sounds

Reduced abdominal tenderness

Elevated blood pressure

Increased abdominal rigidity

Answer and Explanation

The Correct Answer is D

Choice A reason:

A perforated peptic ulcer can lead to localized peritonitis, which may cause abdominal rigidity and guarding, rather than hypoactive bowel sounds.

Choice B reason:

Reduced abdominal tenderness is not expected in a client with a perforated peptic ulcer. Abdominal tenderness is likely to be present due to inflammation and irritation of the peritoneal lining.

Choice C reason:

Elevated blood pressure is not a typical finding in a client with a perforated peptic ulcer. The client may experience hypotension due to fluid loss and hemorrhage.

Choice D reason:

This statement is correct. A perforated peptic ulcer can cause increased abdominal rigidity due to the inflammation and irritation of the peritoneal lining. The abdomen may feel tense and rigid upon palpation.

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Correct Answer is D

Explanation

Choice A reason:

Consumption of spicy foods and carbonated beverages may exacerbate symptoms in individuals with peptic ulcer disease, but they are not direct risk factors for developing the condition.

Choice B reason:

Regular consumption of yogurt and probiotics may promote gastrointestinal health, but they are not specifically risk factors for peptic ulcer disease.

Choice C reason:

Frequent use of antacids for heartburn relief may indicate underlying acid-related issues, but it is not a risk factor for peptic ulcer disease.

Choice D reason:

This statement is correct. Long-term use of NSAIDs is a well-established risk factor for peptic ulcer disease. NSAIDs can irritate the stomach lining and increase the risk of ulcer formation.

A. Abdominal computed tomography (CT) scan B. Magnetic resonance imaging (MRI) of the gallbladder C. Abdominal ultrasound D. Endoscopic retrograde cholangiopancreatography (ERCP)

Correct Answer is C

Explanation

Choice A reason:

Abdominal CT scan can provide detailed images, but it is not typically the first-line imaging study for diagnosing cholecystitis. It may be used if complications are suspected.

Choice B reason:

MRI of the gallbladder can provide high-resolution images, but it is not the first-line imaging study for diagnosing cholecystitis.

Choice C reason:

This statement is correct. Abdominal ultrasound is the first-line imaging study for diagnosing cholecystitis. It can visualize the gallbladder, detect gallstones, and assess for signs of inflammation, such as gallbladder wall thickening and pericholecystic fluid.

Choice D reason:

ERCP is an invasive procedure used to visualize the biliary and pancreatic ducts, but it is not typically used as a first-line diagnostic test for cholecystitis.

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A nurse is caring for a client admitted with a perforated peptic ulcer. Which of the following findings should the nurse anticipate in the client's physical assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing education to a client recently diagnosed with peptic ulcer disease. Which of the following risk factors should the nurse emphasize as contributing to the development of the client's condition?

Correct Answer is D

Explanation

A nurse is caring for a client suspected to have cholecystitis. Which of the following diagnostic tests should the nurse anticipate as the first-line imaging study to confirm the diagnosis?

Correct Answer is C

Explanation

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